Explain how recognition of racism, power imbalances, entrenched majority culture biases, and the need for self-reflexivity can impact the treatment that a patient receives in a health care organization.

, differential treatment, and disparities in health outcomes for marginalized groups. The need for self-reflexivity is also important, as healthcare providers must recognize their own biases and how they may affect their interactions with patients.

A study by the Institute of Medicine (2003) found that racial and ethnic minorities receive lower quality healthcare compared to their white counterparts, even when controlling for factors such as insurance status and income. The study identified several factors that contribute to these disparities, including language barriers, lack of diversity in the healthcare workforce, and unconscious biases on the part of healthcare providers. These biases can result in differential treatment, such as not offering certain treatments or tests to minority patients or providing less information about their condition and treatment options.

To address these issues, specific programs should be developed to promote cultural competence and reduce healthcare disparities. These programs should focus on increasing awareness of racism and power imbalances, addressing unconscious biases, and providing education on culturally sensitive care. One example is the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS Standards), developed by the US Department of Health and Human Services. These standards provide a framework for healthcare organizations to provide equitable care for diverse populations, including strategies for improving communication, increasing diversity in the healthcare workforce, and engaging with community partners.

In conclusion, recognizing and addressing issues of racism, power imbalances, and entrenched majority culture biases is crucial to providing high-quality and equitable care in healthcare organizations. Programs that focus on promoting cultural competence and reducing healthcare disparities are necessary to address these issues and ensure that all patients receive the same level of care, regardless of their background or identity.

Reference: Institute of Medicine. (2003). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press. https://doi.org/10.17226/12875